Evidence map›Paper›PMID 40263476›Full record

Trial reportScientific reports2025

A randomized controlled trial of timing and dosage of upper extremity rehabilitation in virtual environments in persons with subacute stroke.

Jigna Patel, Qinyin Qiu, Gerard G Fluet, Holly Gorin, Jennifer Gutterman, Kiran Karunakaran, Karen J Nolan, Emma Kaplan, Alma S Merians, Sergei V Adamovich

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jigna PatelDepartment of Rehabilitation and Movement Sciences, School of Health Professions, Rutgers The State University of New Jersey, 65 Bergen St, Newark, NJ, 07101, USA. Patel421@shp.rutgers.edu.
Qinyin QiuDepartment of Rehabilitation and Movement Sciences, School of Health Professions, Rutgers The State University of New Jersey, 65 Bergen St, Newark, NJ, 07101, USA.
Gerard G FluetDepartment of Rehabilitation and Movement Sciences, School of Health Professions, Rutgers The State University of New Jersey, 65 Bergen St, Newark, NJ, 07101, USA.
Holly GorinDepartment of Rehabilitation and Movement Sciences, School of Health Professions, Rutgers The State University of New Jersey, 65 Bergen St, Newark, NJ, 07101, USA.
Jennifer GuttermanDepartment of Rehabilitation and Movement Sciences, School of Health Professions, Rutgers The State University of New Jersey, 65 Bergen St, Newark, NJ, 07101, USA.
Kiran KarunakaranKessler Foundation, West Orange, NJ, 07052, USA.
Karen J NolanKessler Foundation, West Orange, NJ, 07052, USA.
Emma KaplanKessler Foundation, West Orange, NJ, 07052, USA.
Alma S MeriansDepartment of Rehabilitation and Movement Sciences, School of Health Professions, Rutgers The State University of New Jersey, 65 Bergen St, Newark, NJ, 07101, USA.
Sergei V AdamovichDepartment of Biomedical Engineering, New Jersey Institute of Technology, University Heights, Newark, NJ, 07102, USA.

Funding

Optimizing Hand Rehabilitation Post-Stroke Using Interactive Virtual EnvironmentsR01HD058301 · NICHD · NEW JERSEY INSTITUTE OF TECHNOLOGY · PI ADAMOVICH, SERGEI V, MERIANS, ALMA S · 2009 to 2021
$4.7M
ACL HHS 90RE5021Eunice Kennedy Shriver National Institute of Child Health and Human Development R01HD058301NICHD NIH HHS R01 HD058301
6 · The paper itself

Abstract

Many people with stroke experience incomplete recoveries, leaving them with upper extremity (UE) deficits affecting their long-term independence. Interventions including virtual reality (VR) and robotics have been developed to foster neuroplasticity post stroke. Few of the many studies examining these interventions consider the impact of both timing and dosage. The primary aim of this randomized controlled trial was to investigate (1) dosage and (2) timing of UE VR/robotic training in the subacute period post stroke. 100 participants were consented 5-30 days after stroke. They were randomized to an Early (first month) or Delayed (second month) VR/robotic group (EVR/DVR), a dose matched usual care group (DMUC) or a usual care group (UC). Participants were evaluated using impairment, motor function, and quality of life measures immediately before, after, and 1 month after training, and 4 and 6 months post stroke. At 4 months post stroke the DVR group showed a higher rate of change from baseline on the Action Research Arm Test compared to the EVR group. This difference was not sustained; none of the training groups demonstrated significantly better scores on any outcome measure 6 months post stroke. Growth mixture modeling revealed three groups with patterns of recovery associated with early finger movement. At 6 months post stroke, the EuroQol was moderately correlated with impairment and activity.

Indexed as

StrokeStroke RehabilitationUpper ExtremityVirtual RealityAdultAgedFemaleHumansMaleMiddle AgedQuality of LifeRecovery of FunctionRoboticsTime FactorsTreatment OutcomeDoseStrokeSubacuteTimeUpper limbVirtual reality

Identifiers

PMID40263476
PMCPMC12015485

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.